Individual
SANDORA WANTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8831
(502) 259-3658
Mailing address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 897-8831
(502) 259-3658
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
1071679
KY
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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